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Customer Evaluation Questionnaire
Xerox Product:
Carrier Name: _____________________________________ Date: _________________
Company Name: ____________________________________ Participant Name: (optional): ________________________
To what extent do you agree with the following statements? (Check the appropriate box.) Make additional copies, as needed.
Please write in ink, if available. You may write comments on this evaluation if you wish. Please return at your earliest convenience.
Additional comments:
o Check here if we may contact you to follow up on your comments. Please include your area code and telephone number.
SD = 1, Strongly disagree N = 3, Neither way A = 4, Agree
D = 2, Disagree SA = 5, Strongly agree
A. The Carrier
SD
1
D
2
N
3
A
4
SA
5
B. The Quick Start Guide
SD
1
D
2
N
3
A
4
SA
5
1. Was prepared for the product orien-
tation and organized.
o o o o o
7. The practice exercises were well
organized in a meaningful
sequence.
o o o o o
2. Displayed professional conduct.
o o o o o
8. Information was accurate.
o o o o o
3. Communicated the material in a
clear and concise way.
o o o o o
9. The illustrations were clear and
understandable.
o o o o o
4. Addressed my expectations.
o o o o o
10. Overall, met my needs.
o o o o o
5. Conducted an orientation that was
easy to follow.
o o o o o
11. Amount of
information
o o o o o
6. Overall, was effective.
o o o o o
12. Level of difficulty
o o o o o